Organization
VALLEY KIDNEY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASHOOD QADRI MD (PRESIDENT)
(480) 584-3491
Entity
Organization
Contact information
Practice address
1600 W. CHANDLER BLVD., SUITE #110, CHANDLER, AZ 85224-6100
(480) 584-3491
(480) 584-4693
Mailing address
1600 W. CHANDLER BLVD, SUITE #110, CHANDLER, AZ 85224-6100
(480) 584-3491
(480) 584-4693
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214680
—
AZ
Enumeration date
08/28/2008
Last updated
03/13/2012
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